Individual
ORLANDO EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1609 TUSK TRL NE, CONYERS, GA 30012-6626
(678) 524-2164
Mailing address
1609 TUSK TRL NE, CONYERS, GA 30012-6626
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN219095
GA
164W00000X
Licensed Practical Nurse
Primary
LPN086099
GA
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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